Olson, Susan Jayne
Olson, Susan Jayne is an sole proprietor health care provider with primary practice located at 1297 Professional Dr Ste 104, Myrtle Beach SC 29577-5713. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Olson, Susan Jayne can be contacted via phone (843) 712-1854.Contact Information
Primary practice address
1297 Professional Dr Ste 104
Myrtle Beach SC 29577-5713
Phone: (843) 712-1854
Fax: (843) 213-1681
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | 26014 | Wisconsin |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | 29752 | South Carolina |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 29752 | South Carolina |
Profile Details
| NPI number | 1205996303 |
|---|---|
| LBN Legal business name | Olson, Susan Jayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205996303 | NPPES |
| Wisconsin | MEDICAID | 30823300 |
Popular Providers
-
Nickolova, Maria K
85 Bryant Woods S , Amherst NY 14228-3604 -
Cartagena, Maria T
85 Bryant Woods S , Amherst NY 14228-3604 -
Glenn, Mark Dwight
3381 Phillis Blvd , Myrtle Beach SC 29577-1560 -
Oduwole, Adedapo M
1203 48Th Ave N 202, Myrtle Beach SC 29577-5425 -
Honick, Murray Glenn
3025 Newcastle Loop , Myrtle Beach SC 29588-4502 -
Lizzi, Luciano
4830 Innisbrook Ct Apt 1003 , Myrtle Beach SC 29579-6609 -
Bowling, Patricia Jean
1350 E 750 N , Orem UT 84097-4345 -
Bhatt, Margaret S
1203 48Th Ave N Ste 202 , Myrtle Beach SC 29577-5425